| NPI | 1093123242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERSCHEL J ROPER Managing Member 702-503-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20131611035) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |